Recenzija, prikaz

https://doi.org/10.20471/acc.2022.61.03.22

Successful Repositioning Procedure for Benign Paroxysmal Positional Vertigo after Stapedotomy

Željko Zubčić ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Andrijana Včeva ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Tihana Mendeš ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Josip Maleš ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Hrvoje Mihalj ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Hrvoje Vidić ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaringology General County Hospital Požega, Požega, Croatia
Matej Rezo ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Ivan Abičić ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Tin Prpić ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia
Anamarija Šestak ; Department of Otorhinolaryngology and Maxillofacial Surgery, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Centre Osijek, Osijek, Croatia

Sažetak

This report aimed to investigate the relationship after successful left‐sided stapedotomy
and postoperative benign paroxysmal positional vertigo (BPPV) due to vitamin D deficiency.
A 56‐year‐old woman presented with a complaint of progressive hearing loss and tinnitus in the left
ear without dizziness. A successful left‐sided stapedotomy was performed, confirming the diagnosis
of otosclerosis and closing the air‐bone gap to less than 10 dB. Seven days after the stapedotomy, the
patient reported dizziness, usually when turning to her left side in the bed. An electrophysiological
assessment was performed to investigate vestibular function. Dix Hallpike maneuver showed a typical
response, about 5 seconds after repositioning the head, and geotropic, torsional rotary nystagmus
of about 30 seconds was registered. Vitamin D deficiency in serum was found. Complete symptom
remission was achieved after 7-day-treatment with Epley’s maneuver. As a postoperative vertigo complication,
BPPV often remains unrecognized after stapes surgery. Canalith repositioning maneuver is
treatment for BPPV. Determining serum levels of total calcium and vitamin D may play a significant
role in monitoring and reducing the recurrence of dizziness.

Ključne riječi

Rehabilitation; Balance Disorders; Benign Paroxysmal Positional Vertigo; Otosclerosis; Vitamin D Deficiency

Hrčak ID:

296240

URI

https://hrcak.srce.hr/296240

Datum izdavanja:

1.11.2022.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.377 *